Archive for ‘wages and benefits’

Huffington Post Shines Light on FLSA Companionship Exemption

Posted by on December 6th, 2011 at 11:24 am | No Comments »

“If you’re in this job for money, you’re in it for the wrong reason, but I’d like to see that change someday,” says a Florida home care worker in Healthcare Workers on Verge of Winning Equal Rights, Higher Pay. The December 1 Huffington Post article looks at the companionship exemption that denies home care workers overtime pay and other basic protections under the Fair Labor Standards Act, explaining that the White House is considering a rule that would end the exemption.

Paul Sonn, legal co-director of the National Employment Law Project, told writer Dave Jamieson, who covers workplace issues for the influential blog, that undoing the companionship exemption is “a really important change to build a foundation for improving these jobs.” Jamieson also quotes Direct Care Alliance Policy Director David Ward, who says the high turnover rates for home care aides prove that the current system of low pay and few benefits doesn’t work. “We need to make greater investment in the workers” says Ward. “There’s going to be an increasing demand.”

The Florida worker, who recently contributed a DCA blog post about how her lack of overtime pay and pay for travel time between clients affects her and her family, told Jamieson she has to work twice as many hours as her husband to earn the same amount he does. “My life pretty much revolves around my job,” she said.

Judge Temporarily Blocks 20% Pay Cut for Family Caregivers

Posted by on December 6th, 2011 at 10:58 am | No Comments »

As home health agency owner Tim Plant explained in a September 20 DCA blog post, Minnesota’s new budget included a 20 percent pay cut for personal care assistants who provide care to a relative. The cut was to have gone into effect October 1, but a dedicated group of activists worked hard to convince lawmakers and Department of Human Services administrative staff that it should not be enacted. The activists succeeded in getting the cut tabled, but more action is needed to ensure that it is permanently defeated, as Vice President Brigette Menger-Anderson of the Direct Support Professional Association of Minnesota (DSPAM) explains in  DSPAM’s newsletter. See below for the beginning of her article and a link to the rest.

In the last newsletter, we provided you with a legislative update, focusing on the unprecedented 20% rate cut for providers who were billing for PCA services provided by caregivers of family members. This statute deeply impacted the disability and DSP community immediately. Many providers reduced the wages of their workers to compensate for the reduction. Some DSPs recently blogged on the DCA that they are now down to $7.75 an hour and can’t even afford the gas to get to provide the supports that are needed. DSPs wrote into DSPAMs Facebook page and shared that they live in small rural towns and feel that it is unlikely to get someone else to fill these shifts and that the providers are banking on the genuine caring and giving nature of DSPs to continue to do their jobs.

What we need for our legislators and the general public to understand is that direct support workers are provided a service that is the least costly and offers the most opportunity for dignity and independence to the individuals who receive direct care services. Read the rest in the Winter 2011 I Am DSPAM newsletter, starting at the top of the 11th page.

Improving Care Quality by Developing Direct Care Worker Leaders

Posted by on November 29th, 2011 at 11:12 am | 2 Comments »

Beverly Faulkner

Developing direct care workers’ leadership skills can be an effective way of improving job and care quality in long-term care, according to early feedback from a collaboration between the Direct Care Alliance and four New York City-area nursing homes. The program is part of a pilot being conducted by DCA, the Beth Abraham Family of Health Services in New York City, and the Service Employees International Union (SEIU).

The project partners developed a new job description for certified nursing assistants (CNAs), creating an intermediary Senior Resident Care Associate position between the traditional CNA position and licensed nurses. The main goal is to develop direct care workers’ leadership skills so they can better advocate for improved working conditions, career advancement, and respect. The new position essentially creates a CNA career track, allowing seasoned nursing assistants to take on more responsibility and earn more pay without having to abandon the profession.

According to sociologist Deborah Little, PhD, the program’s evaluator, 30 CNA leaders—“the cream of the cream of the crop”—will be trained over the next three years. The first ten came from two of Beth Abe’s four homes. Each of the remaining two homes will contribute ten more. Training began for the first group this fall and begins for the last group next spring.

Continue reading »

Life Without Overtime: Averaging 60 to 80 Hours a Week

Posted by on November 29th, 2011 at 10:32 am | 1 Comment »

Home care worker Evelyn Coke (pictured) fought for the right to overtime pay.

The home care worker whose story you are about to read chose to remain anonymous for fear of losing her job.

In order for me to pull my weight, I average 120 to 160 hours every two weeks. My husband loads trucks 40 hours a week. It takes me almost twice as long to earn what he does. I can work in two weeks what some people work in an entire month, because we home care aides don’t get paid time and a half for overtime in Florida.

A couple days a week, I work from 8 in the morning until 8 at night. Sometimes I work from 8 at night until 3 in the afternoon. I spend a lot of my days just going from one client to another from early morning to late at night.

These days I’m not driving too far between clients, but there were times when I was traveling 30 to 50 miles a day to get from one client to the next. We used to get paid for that travel time and mileage, but now we don’t, and gas costs a lot more now than it used to. Continue reading »

Strengthening Social Security to Improve Direct Care Workers’ Retirement Security

Posted by on November 14th, 2011 at 9:38 pm | No Comments »

Download a PDF or Flash version of the brief

Recent proposals to cut Social Security benefits would threaten the already fragile retirement security of direct care workers, according to Maintaining and Improving Social Security for Direct Care Workers. Instead, argues the 16-page issue brief, the program can and should be strengthened in ways that will increase retirement security for these workers.

Author Shawn Fremstad of the Center for Economic and Policy Research (CEPR) explains why Social Security is particularly important to direct care workers, who are “among the most poorly compensated and economically insecure workers in the United States.” Only about one in every four direct care workers have employer-provided retirement benefits, says the brief, and few can afford to amass any other savings, so the great majority rely solely on Social Security if they become disabled or retire. But workers who have put in a lifetime of poorly paid work as caregivers are eligible only for extremely modest Social Security benefits. Continue reading »

Protecting the Social Safety Net

Posted by on November 8th, 2011 at 10:32 am | 1 Comment »

CNA and DCA member Kelly Gessner testifying at a Senate briefing last week.

UPDATE: Help us fight to preserve these crucial programs by emailing your elected representatives. Our action alert makes it easy to send them a letter.

Medicare, Medicaid, and Social Security are under attack. Over the past several months, these social safety programs have become the focus of a political battle over what our government needs to do to create jobs and stimulate our struggling economy. This is alarming because these programs are fundamental to the already shaky economic security of our seniors, people with disabilities, and low-income families—a group that includes many direct care workers and their families, as well as most of the people they assist.

Unfortunately, the debate about whether to cut social safety net programs is being driven by politics, not the realities that millions of low-income families and individuals face every day. The Direct Care Alliance and many of our allies are waging campaigns to preserve these crucial programs. Continue reading »

Life Without Overtime: Was I Living? Was I Really Taking Care of Anybody?

Posted by on November 1st, 2011 at 3:45 pm | 7 Comments »

Home care worker Evelyn Coke (pictured) fought for the right to overtime pay.

The home care worker whose story you are about to read chose to remain anonymous for fear of losing her job.

Here in Florida, when you work for an agency you don’t get time and a half for overtime. Most of the agencies will give you all the time in the world—and you have to take it, if you’re not getting overtime and you’re only making $8.25 an hour. You need to book the hours; you don’t have much choice. The only time I’ve gotten time and a half is on a holiday, and that’s because they’re in a bind and that’s the only way they could get someone to cover it.

I made $8.25 when I first started and worked my way up to $9 an hour. After taxes, that comes to $7.50 an hour, for everything I’m doing. I never got any overtime when I worked for agencies, so I had to work 7 days a week, 12 hours a day, just to get by. I was bringing home $750 a week [before taxes], but was I living? Was I really taking care of anyone? Continue reading »

Demonizing Caregivers No Way to Reduce Elder Abuse, says DCA Issue Brief

Posted by on October 25th, 2011 at 3:37 am | 1 Comment »

“The personal, often intimate nature of caregiving relationships can make it difficult to define, detect, and deter the abuse of elders and people with disabilities by the caregivers they rely on. Nonetheless, there are a number of steps that employers and policymakers can take to support good care and prevent abuse,” says No Excuse for Abuse, the ninth in a series of Direct Care Alliance policy briefs.

Arguing that we cannot reduce abuse until we understand its root causes, the nine-page issue brief looks at what we know—and what we don’t know—about how and why care recipients get abused by their caregivers. Author Elise Nakhnikian notes that the great majority of abuse appears to be committed not by paid professionals but by informal caregivers, usually close family members, and that it is often caused by “complex and stressful dynamics between caregiver and care recipient, with one party’s actions and attitudes affecting the other and creating a ‘reactive pattern or feedback loop.’”

Simply blaming and punishing those who abuse will not solve the problem, she writes. In fact, demonizing caregivers can make things worse, pushing the issue even further underground and tarnishing the reputation of an honorable profession. Continue reading »

Working for Less than Minimum Wage

Posted by on October 18th, 2011 at 9:02 am | 6 Comments »

Clara Glenn

I’ve been doing home care work for 30-some years, and I love it. I tell everybody I wouldn’t trade it for the world. You have to have a heart to do this work. You can’t just do it for no reason. You have to be dedicated. I always put God first in my life, and that carries me through.

About 15 years ago, I worked for a home care agency that paid less than minimum wage. The minimum was $5.15 at the time, and we were making $4.90. I think that was a reason a lot of the girls left. We stayed as long as we could and then we went on to other places.

I stayed because of the clients. I liked them and they liked me. We made our own little family, and that meant more to me than the money. As long as they were getting good care, that was really what mattered to me. Even now, some of their grandchildren send me Christmas cards and birthday cards and when they get married they call me up. They were like family, and I knew they needed help. Continue reading »

Why We Stopped Offering Health Insurance to Our Home Care Workers

Posted by on October 18th, 2011 at 9:00 am | 2 Comments »

Tracy Dudzinski

Some things just don’t make sense.

As many of you know, I am an employee-owner of a supportive home care agency in Wisconsin that is a worker-owned cooperative. I chair the board of directors, which recently had to make a very difficult decision: We had to stop offering health insurance coverage to our employees.

I was on the insurance so I had to excuse myself from the board’s discussions, but from what I heard afterward, it was a difficult decision for the board to make. One of the reasons the cooperative was founded was to offer health insurance to its members. It was hard for the board members to let go of that goal, but we just couldn’t afford not to.

The cheapest plan we could find was too expensive—for us and for our employees.  Continue reading »